Bright Futures Parent Handout 3 Year Visit

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1 ENCOURAGING LITERACY ACTIVITIES PROMOTING PHYSICAL ACTIVITY Reading and Talking With Your Child Read books, sing songs, and play rhyming games with your child each day. Reading together and talking about a book s story and pictures helps your child learn how to read. Use books as a way to talk together. Look for ways to practice reading everywhere you go, such as stop signs or signs in the store. Ask your child questions about the story or pictures. Ask him to tell a part of the story. Ask your child to tell you about his day, friends, and activities. Your Active Child Apart from sleeping, children should not be inactive for longer than 1 hour at a time. Be active together as a family. Limit TV, video, and video game time to no more than 1 2 hours each day. No TV in your child s bedroom. Keep your child from viewing shows and ads that may make her want things that are not healthy. Be sure your child is active at home and preschool or child care. Let us know if you need help getting your child enrolled in preschool or Head Start. Bright Futures Parent Handout 3 Year Visit Here are some suggestions from Bright Futures experts that may be of value to your family. FAMILY SUPPORT SAFETY Family Support Take time for yourself and to be with your partner. Parents need to stay connected to friends, their personal interests, and work. Be aware that your parents might have different parenting styles than you. Give your child the chance to make choices. Show your child how to handle anger well time alone, respectful talk, or being active. Stop hitting, biting, and fighting right away. Reinforce rules and encourage good behavior. Use time-outs or take away what s causing a problem. Have regular playtimes and mealtimes together as a family. Safety Use a forward-facing car safety seat in the back seat of all vehicles. Switch to a belt-positioning booster seat when your child outgrows her forward-facing seat. Never leave your child alone in the car, house, or yard. Do not let young brothers and sisters watch over your child. Your child is too young to cross the street alone. Make sure there are operable window guards on every window on the second floor and higher. Move furniture away from windows. Never have a gun in the home. If you must have a gun, store it unloaded and locked with the ammunition locked separately from the gun. Ask if there are guns in homes where your child plays. If so, make sure they are stored safely. Supervise play near streets and driveways. PLAYING WITH PEERS Playing With Others Playing with other preschoolers helps get your child ready for school. Give your child a variety of toys for dress-up, make-believe, and imitation. Make sure your child has the chance to play often with other preschoolers. Help your child learn to take turns while playing games with other children. What to Expect at Your Child s 4 Year Visit We will talk about Getting ready for school Community involvement and safety Promoting physical activity and limiting TV time Keeping your child s teeth healthy Safety inside and outside How to be safe with adults Poison Help: Child safety seat inspection: SEATCHECK; seatcheck.org PAGE 1 OF 1 The recommendations in this publication do not indicate an exclusive course of treatment or serve as a standard of medical care. Variations, taking into account individual circumstances, may be appropriate. Original document included as part of Bright Futures Tool and Resource Kit. Copyright 2010 American Academy of Pediatrics. All Rights Reserved. The American Academy of Pediatrics does not review or endorse any modifications made to this document and in no event shall the AAP be liable for any such changes.

2 Healthy Eating Get your child on the path to healthy eating. Focus on the meal and each other. Your child learns by watching you. Children are likely to copy your table manners, your likes and dislikes, and your willingness to try new foods. Offer a variety of healthy foods. Let your child choose how much to eat. Children are more likely to enjoy a food when eating it is their own choice. Be patient with your child. Sometimes new foods take time. Give children a taste at first and be patient with them. Offer new foods many times. Let your children serve themselves. Teach your children to take small amounts at first. Let them know they can get more if they are still hungry. Cook together. Eat together. Talk together. Make meal time family time. U.S. Department of Agriculture Food and Nutrition Service FNS-451 October 2012 USDA is an equal opportunity provider and employer.

3 Healthy Eating Daily Food Plan Use this Plan as a general guide. These food plans are based on average needs. Do not be concerned if your child does not eat the exact amounts suggested. Your child may need more or less than average. For example, food needs increase during growth spurts. Children s appetites vary from day to day. Some days they may eat less than these amounts; other days they may want more. Offer these amounts and let your child decide how much to eat. Food group 2 year olds 3 year olds 4 and 5 year olds What counts as: Fruits Vegetables Grains Make half your grains whole Protein Foods Dairy Choose low-fat or fat-free 1 cup 1-1½ cups 1-1½ cups 1 cup 1½ cups 1½ - 2 cups 3 ounces 4-5 ounces 4-5 ounces 2 ounces 3-4 ounces 3-5 ounces 2 cups 2 cups 2½ cups ½ cup of fruit? ½ cup mashed, sliced, or chopped fruit ½ cup 100% fruit juice ½ medium banana 4-5 large strawberries ½ cup of veggies? ½ cup mashed, sliced, or chopped vegetables 1 cup raw leafy greens ½ cup vegetable juice 1 small ear of corn 1 ounce of grains? 1 slice bread 1 cup ready-to-eat cereal flakes ½ cup cooked rice or pasta 1 tortilla (6 across) 1 ounce of protein foods? 1 ounce cooked meat, poultry, or seafood 1 egg 1 Tablespoon peanut butter ¼ cup cooked beans or peas (kidney, pinto, lentils) ½ cup of dairy? ½ cup milk 4 ounces yogurt ¾ ounce cheese 1 string cheese Some foods are easy for your child to choke on while eating. Skip hard, small, whole foods, such as popcorn, nuts, seeds, and hard candy. Cut up foods such as hot dogs, grapes, and raw carrots into pieces smaller than the size of your child s throat about the size of a nickel. There are many ways to divide the Daily Food Plan into meals and snacks. View the Meal and Snack Patterns and Ideas to see how these amounts might look on your preschooler s plate at

4 10 tips Nutrition Education Series kid-friendly veggies and fruits 10 tips for making healthy foods more fun for children Encourage children to eat vegetables and fruits by making it fun. Provide healthy ingredients and let kids help with preparation, based on their age and skills. Kids may try foods they avoided in the past if they helped make them. 1 smoothie creations Blend fat-free or low-fat yogurt or milk with fruit pieces and crushed ice. Use fresh, frozen, canned, and even overripe fruits. Try bananas, berries, peaches, and/or pineapple. If you freeze the fruit first, you can even skip the ice! 2 delicious dippers Kids love to dip their foods. Whip up a quick dip for veggies with yogurt and seasonings such as herbs or garlic. Serve with raw vegetables like broccoli, carrots, or cauliflower. Fruit chunks go great with a yogurt and cinnamon or vanilla dip. 3 caterpillar kabobs Assemble chunks of melon, apple, orange, and pear on skewers for a fruity kabob. For a raw veggie version, use vegetables like zucchini, cucumber, squash, sweet peppers, or tomatoes. 4 personalized pizzas Set up a pizza-making station in the kitchen. Use whole-wheat English muffins, bagels, or pita bread as the crust. Have tomato sauce, low-fat cheese, and cut-up vegetables or fruits for toppings. Let kids choose their own favorites. Then pop the pizzas into the oven to warm. 6 frosty fruits Frozen treats are bound to be popular in the warm months. Just put fresh fruits such as melon chunks in the freezer (rinse first). Make popsicles by inserting sticks into peeled bananas and freezing. 7 bugs on a log Use celery, cucumber, or carrot sticks as the log and add peanut butter. Top with dried fruit such as raisins, cranberries, or cherries, depending on what bugs you want! 8 homemade trail mix Skip the pre-made trail mix and make your own. Use your favorite nuts and dried fruits, such as unsalted peanuts, cashews, walnuts, or sunflower seeds mixed with dried apples, pineapple, cherries, apricots, or raisins. Add whole-grain cereals to the mix, too. 9 potato person Decorate half a baked potato. Use sliced cherry tomatoes, peas, and low-fat cheese on the potato to make a funny face. 10 shape or design. put kids in charge Ask your child to name new veggie or fruit creations. Let them arrange raw veggies or fruits into a fun 5 fruity peanut butterfly Start with carrot sticks or celery for the body. Attach wings made of thinly sliced apples with peanut butter and decorate with halved grapes or dried fruit. United States Department of Agriculture Center for Nutrition Policy and Promotion Go to for more information. DG TipSheet No. 11 June 2011 USDA is an equal opportunity provider and employer.

5 Johns Creek Pediatrics Pediatric Dentist Referrals Alpharetta Children s Dentistry George MacMaster, DMD, Thomas Akins, DMD, Judy Christianson, DDS Theresa Caruso, DDS, Daniel Kratzer, DMD, MS, Med, Meaghan Kindregan, DMD Monica Sharma, DMD, J.C. Shirley, DMD, MS Johns Creek: 3915 Johns Creek Court Suwanee, GA (P) Alpharetta: 4205 North Point Parkway Building C Alpharetta, GA (P) Cumming: 110 North Corners Parkway Cumming, GA (P) Classic Children s Dentistry T.J. Eberhardt, DMD 1200 Bald Ridge Marina Road Suite 100 Cumming, GA (P) Rhonda Hogan, D.M.D, P.C. Pediatric and Adolescent Dentistry 1380 Peachtree Industrial Boulevard, Suite 150 Suwanee, GA (P) (F) Smile Magic Sharon DeSouza, DMD, Pushpa Sundareswaran, DMD 2880 Old Alabama Rd. Suite 400 Alpharetta, GA (P) (F) Updated: 8/3/2015

6 My Johns Creek Dentist Family & Cosmetic Dental Care Mitul Patel, DDS 2627 Peachtree Pkwy., Ste 440 Suwanee, GA (P) Updated: 8/3/2015

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